| NPI | 1740543743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WV 28292) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: WV 28292) |
| 2086S0127X Surgery, Trauma Surgery (Licence: KY 50306) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2022-04-15 |